Monday, August 14, 2006

Rules for the ER

Man I just love these things that are floating around on the 'net. And believe it or not...These are so true!

1. The world of ER does not revolve around you. There are sick people here, and you aren't one of them.

2. Our definition of sick is not your definition of sick. If a member of the ER staff says that someone is sick, it means that they are in the process of DYING. They have had a massive stroke, are bleeding out, having a heart attack, or shot. We don't consider a tooth injury sick. Painful, yes. Sick, no.

2. At any given time, one nurse has four patients. One doctor has up to 15. There is a law (similar to Murphy's) in the ER. If you have four patients:One of them will be sick (see #2 for definition)One of them will be whining constantlyOne of them will be homelessand one of them will be the delightful patient.Don't be the whiner. Please.3. Physicians and nurses are not waiters. We are not customer service representatives. This is not McDonalds, and you very well may NOT have it your way. Our job is to save your life, or at least make you feel better. If you want a pillow, two blankets, the lights dimmed, and the TV on channel 14, go to the Ramada.

4. If you have one of the three, go to your own doctor in the morning:A cold,The flu,A stomach virus

5. If your child has a fever, you had better give him tylenol before coming in. Do NOT let the fever remain high just so I will believe the child has a fever. Do you want your child to have a seizure? Do you?

6. We have priorities. We understand that you have been waiting for two hours in the waiting room. If you don't want to wait, make an appointment with a doctor. The little old lady that just walked in looking OK to you is probably having a massive heart attack. That's why she goes first. 7. Do not ask us how long it will be. We don't know. I don't know what's coming through my door 30 seconds from now... so I surely don't know when you'll be getting a room upstairs.8. We are not for primary care. Get a family doctor, and go see them. 9. If you have diabetes and do not control it, you are committing slow suicide.10. We know how many times you've been to an ER. We can usually tell if you are faking it on the first 5 seconds of talking to you. Do not lie to us. If you lie about one thing, we will assume you are lying about everything. You don't want that. 11. If you are well enough to complain about the wait, you are well enough to go home.12. If your mother is a patient and we ask her a question, let her answer it.13. If you see someone pushing a big cart down the hall at full speed and you hear bells going off.... do not ask for a cup of coffee. Someone is dying, you inconsiderate %#@^. In the ER, bells don't ring for nothing. Sit down, shut up, and let us work. 14. If you have any sort of stomach pain and you ask for something to eat, you are not that sick.15. If you can complain about the blood pressure cuff being too tight, or the IV needle hurting, you are not in that much pain. 16. If you want to get something, be nice. I will go out of my way to tick off rude people.17. Do not talk badly about the other members of staff I work with. The doctor that you hate? I work with him every day, and I know that he knows what he is doing. I trust him a lot more than I trust you. I am not here to be your friend, and neither is he. I will tell him what you said, and we will laugh about it. If you want a buddy, go somewhere else. 18. Every time I ask you a question, I learn more about what is wrong with you. I don't care if I ask you what day it is four different times. Each time I ask, it is for a reason. Just answer the questions, regardless of if you have answered them before. 19. Do not utter the words "It's in my chart." I don't have your chart, and I don't have the time to call and get it. Just tell me.20. Do not bring your entire posse with you. One person at the bedside is all you need. It is really difficult to get around seven people in the event that you are really sick.

21) If you had a room, you would be up there. I am not keeping you in the ER for my health. Trust that the second you get a room assigned and the nurse upstairs will take report that you will be on your way.22) I do not get paid extra for starting more IVs. I don't enjoy sticking people more than once - it adds to the number of minutes I'm stuck hearing about your stomach pain (and the BK you had on the way here). 22a) No, I can't guarantee getting a good vein on the first stick. See #2. 23) If I am listening to lung sounds, please be kind enough to exhale away from me.24) Please don't complain about being pulled into the hall. If you're in the hall, you probably aren't dying. And if you are dying and in the hall, at least I will be able to see when it happens to get an accurate TOD. 25) If you come in by ambulance (that you called) don't get upset when I try to put in an IV.26) If you come in for CP, please don't get loud when I put you on the monitor, stick you for blood and an IV, start O2, get an EKG, and give you aspirin. If you weren't worried about the pain, you shouldn't have come in. PS- you'll probably be admitted to get a stress test tomorrow. 27) No, I don't know if your insurance will cover this.28) If you know what pain meds to ask for, then you know too much and are probably a drug seeker.29) There is an inverse relationship to the loudness of the vomiting and the actual sickness of the patient. 30) The fact that you are lying in bed moaning does not lead me to believe you are more sick. It leads me to believe that you are more of a pain in my @ss. 31) GET OFF THE %^&$$#&& PHONE!!!!!!!!! 32) If you can breathe well enough to yell at me "I can't breathe" then you're breathing juuuuuust fiiiiine.33) Just a hint....if you're going to play possum, don't play it in my ED. I can get really personal with a foley catheter really quick. Hey, if you are unresponsive then I want to make sure you won't mess my bed. 34) Just because you or your family member says "I know you're busy" or "I'm sorry to bother you" before making another dumb request (another blanket, when will my room be ready, etc) does not make me less busy or you less of a bother. 35) I am not your glorified personal servant (hell, I'm not a glorified anything). 36) I don't care that you're having pain unless it is in your chest, or related to the leg that just fell off.37) Is it the flourescent lights in here, or the O2? Because I'm pretty sure you walked to the BR at home and in the WR, and really sure you wiped your own rear end afterwards. Just because you are in the ER does not make you an invalid. (See #15). 38) I don't do anything in the ER for fun (except Narcan ODs - love stepping on buzzes!) so if I ask you a question or ask you to do something, it is for YOUR health, not mine.

Sunday, August 13, 2006

Jay's Ride

Well Jay has his first auto. It's a 2000 Ford Ranger. Black with gray interior. V6 automatic. Got all the extras he wanted...Bed liner, Fiberglas bed cover, chrome bed rails, and chrome step bars. I took my home XM radio set and installed it for him. I didn't use it anyway and was still paying for it, so put it in his truck for him to listen to. Oh and of course it has dual exhaust with Flowmasters.
He is, to say the least, tickled pink. Love to see him smile when he talks about it. Hopefully will last him through high school and college. Seems like a good buy.
He starts school tomorrow. Going into tenth grade. He's already decided on Arkansas for college. Just hasn't made his mind up on what he wants to take. One day its medicine and the next its nursing. All I tell him is to be happy doing whatever it is that he decides to do.
Well just updating you, my gentle reader, on the happenings of my life. Hope all is well with you and yours. Drop me a comment and say HI.

Saturday, August 12, 2006

Branson Vacation

Hey folks, spent the beginning of this week vacationing in Branson,MO. Had a great time with Jay, and DJ (Jay's friend). We rented a condo on a golf course. As my luck runs it was on the far side of town from everything. But that was ok. Had a lot of fun cruising the strip and looking at everything and everyone. We went to Silver Dollar City, Celebration City, and some different things like Ripley's Believe It or Not museum. I think that the one thing we all enjoyed the most was the go-kart tracks. The one we went to several times was wooden and had these three level spirals on either end with some dips and curves in between. Loads of fun. We really enjoyed ourselves, although it was hot (read as 100 degrees). It was great to leave all our problems on the east side of the Mississippi River as we headed west. We did our best not to pick them up as we came back across the river. I'm back to work on Sunday. So it's back to the real world. But God it was great to get away for a few days. Really looking forward to doing it again. Perhaps a weekend trip soon. Anyone got an suggestions? Hit the comment button and lay it on me.